1 / 1

LjC Mini Cheer Clinic

Each student must have medical coverage to participate. Any previous injuries must be cleared with coach. Participant Name _______________________________________ Age____________

michi
Download Presentation

LjC Mini Cheer Clinic

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Each student must have medical coverage to participate. Any previous injuries must be cleared with coach. • Participant Name_______________________________________ Age____________ • Parental signatures below affirm they will keep this policy in effect for the duration of the student’s participation. • It is to be understood that the Jr. Cheer Board and/or coaching staff is not liable for any medical, dental or hospital bill occurring as a result of cheerleading injuries incurred by a student while participating, and such bills, in excess of insurance benefits shall be the responsibility of the student’s parent(s) or guardian(s). • I authorize my child(ren)to participate in the cheerleading mini clinic, without a previous physician physical examination . I believe she/he is physically fit and able to participate. I realize that this activity involves a potential for injury, which is inherent in all sports. I further recognize that medical treatment on an emergency basis may be necessary at a time in which I may not be available to give my consent in advance. I acknowledge that I have read and understand this earning. • I have read and understand the medical responsibilities involved with cheerleading and are willing to abide by them.  • Parent/Guardian Signature Date • Number to call in case of emergency • T-shirt size _______ (Child S -adult xl are available, please specify child or adult) • * T-shirt is included if registered 1 week before clinic date. • Registration is complete when payment has been made and this Mini • Clinic Parent Release Form has been signed. • Checks can be sent to: Liberty Jr. Cheer, 21000 NW Quatama rd. #11 Beaverton, OR 97006.. • If you have any questions please feel free to contact Jodi Robinette (503)720-2903 or ljcdirector@yahoo.com • Thank-you and we look forward to working with your cheerleader(s). • Liberty Jr. Cheer Coaching Staff LjC Mini Cheer Clinic Registration & Medical Release Form Choose from; 3/11 QuatamaElememntary6:00-8:00pm, 2/15 Impact Athletics 10:00am-12:00pm, 3/15 Impact Athletics 10:00am-12:00pm, and 4/12 Impact Athletics 10:00am-12:00pm

More Related